JP2008146469A - Medical information management system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical information management system which automatically detects other medical information attached with a changed new ID from the original ID of the other medical information included as ancillary information, even after changing the ID of medical information. <P>SOLUTION: This medical information management system has a receiving means 006 receiving the medical information including specific patient ID and including the original ID of the other medical information in the ancillary information, a medical information taking-in means 001 changing patient ID of the received medical information and changing and taking the original ID of the received medical information to and in the new ID, an ID management means 002 making and storing a management table for expressing the correspondence of the new ID of the taken-in medical information and the original ID, and a medical information management means 003 preserving the taken-in medical information in a preserving means by being associated with the new ID and outputting the medical information in response to a retrieval request, and outputs the medical information of the corresponding new ID as a retrieval result based on the management table, to the retrieval request based on the original ID of the medical information. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a medical information management system and a medical information management method that support cooperation between medical facilities. More specifically, the present invention relates to a medical information management system and a medical information management method for managing medical information created at a medical facility so that the medical information can be used at another medical facility.

  In recent years, due to cooperation between medical facilities, there are increasing opportunities to use medical information such as medical images and diagnostic reports taken at a medical facility in other medical facilities. For example, the medical information of a specific patient generated at a certain medical facility is referred to when the same patient is treated at another medical facility. In such a case, the medical information in another medical facility is registered in the database of the medical facility in which the medical information is to be used, and managed in the same manner as other objects already existing in the medical facility database. Must be available.

  Here, since individual medical information may be misunderstood by being confused with other medical information, it is determined as a standard guideline that an ID for uniquely identifying them is given. Yes. For example, in DICOM (Digital Imaging and Communications in Medicine), each medical information is given a UID that is an identifier for identifying the medical information. Furthermore, such medical information includes bibliographic items such as patient IDs and examination IDs as supplementary information. Further, the incidental information of medical information may include IDs of other medical information related to the medical information. This is because, for example, an ID issued by the A medical facility is attached to the diagnostic report created at the A medical facility, and the incidental information of the diagnostic report includes a patient ID, a test ID, and the like to be reported. Includes a report part describing the bibliographic items and opinions on the examination, and the ID of the image that was referred to when the diagnostic report was created, that is, the image that became the basis of the diagnosis, is described as the “reference image ID” in the report part. Is done. This reference image ID also describes the ID issued by the medical facility that created the image, here the ID issued by the A medical facility. The same applies to medical images. The medical image is divided into a bibliographic item and an image part, and an ID issued by the medical institution A is attached.

  In addition, bibliographic items, for example, patient IDs, etc., of supplementary information in medical information are normally issued, registered, and managed separately at each medical facility. Therefore, in a medical facility, when registering medical information in another medical facility in the database, if it is registered as it is, it will be registered as a different person even though it is the same patient, and data inconsistency will occur. There is a fear. Therefore, in order to avoid this problem, when registering medical information of another medical institution in the database of each medical institution, it is necessary to change and register additional information such as a patient ID.

  When bibliographic items such as patient IDs are rewritten in this way, the contents of the medical information are changed, so that the original medical information is used in order to operate in accordance with the standard guidelines described above. Must be handled separately. Therefore, it is necessary to change the medical information ID itself.

  In this respect, bibliographic items in the supplementary information can be completed by rewriting only the corresponding medical information, but in order to rewrite other medical information IDs (eg, reference image IDs) included in the supplementary information. When the ID of certain medical information is rewritten, it is necessary to check the IDs of other medical information included in the incidental information of all medical information. This increases the processing load as the amount of medical information increases. Also, when medical information is taken from one medical institution to another medical institution, not all other medical information having the ID of other medical information included in the supplementary information of the certain medical information is sent. Since a new ID of medical information that has not yet been captured has not been determined, it is difficult to rewrite the ID of the medical information included in the accompanying information.

  In order to avoid the above problems, if the ID of other medical information included in the supplementary information is not rewritten, the ID of the medical information as described above is rewritten in the medical information. The ID of other related medical information described as information is not changed and remains the original ID. Therefore, the ID of other medical information included as supplementary information in the medical information is different from the ID of single medical information registered in the database, resulting in inconsistency. For example, using the example described above, the diagnosis report (original ID = A1) created at the medical facility A and the image (original ID = A2) referenced when the diagnostic report is created are stored in the database of the medical facility B. When registering and trying to use, the patient ID is changed, so that the diagnosis report and the ID of the image referred to when the report is created are respectively changed (new ID = B1 and B2, respectively). Here, the ID before the change is the original ID, and the ID after the change is the new ID. However, the reference image ID, which is described as incidental information in the diagnosis report and indicates the image referred to when the diagnosis report is created, is not changed (that is, the original ID remains A2). Therefore, the original ID of the reference image described in the diagnostic report is different from the new ID registered in the database as the reference image alone, resulting in inconsistency.

  In this regard, conventionally, when searching for an image from the original ID of a reference image, if a target image is not found, a medical staff such as a doctor goes to search for the reference image in the database. The original ID included in the incidental information in the report has been changed in advance by a human hand. However, in the current situation where cooperation between medical facilities is increasing, it is not certain whether a medical image described as a reference image is actually registered in the database of the medical facility. Since it is not known how many medical images are referred to in the information, and the reference images may be enormous, it is realistic to rewrite all original IDs to new IDs by human hands. Is no longer.

  Thus, conventionally, when medical image information is shared among a plurality of hospitals, a system (see, for example, Patent Document 1) that can correctly register patient IDs and examination IDs freely given at each hospital is provided. .

JP 2006-192057 A

  However, the system of Patent Document 1 is a system that, when a certain examination ID is changed, changes the examination ID if the original image is the same examination image. It is not intended to change the ID of other medical information included in the ID, and when the ID of each medical information is changed, the ID of the other medical information included in the incidental information and after the change is made It is difficult to reduce inconsistencies between IDs of the medical information.

  This invention is made in view of such circumstances, and even when the medical information ID is changed, the new ID changed from the original ID of other medical information included as supplementary information in the medical information It is an object to provide a medical information management system that automatically finds other medical information that is marked with.

  In order to achieve the above object, the medical information management system according to claim 1 is medical information including a specific patient ID, each of which is individually assigned an original ID, and the original ID of other medical information is included in the additional information. A receiving means for receiving the included medical information, a medical information taking means for changing at least the patient ID of the received medical information, and taking in the original ID of the received medical information by changing to a new ID; An ID management unit that creates and stores a management table indicating correspondence between the new ID of the medical information and the original ID, stores the captured medical information in association with the new ID, and stores the medical information in response to a search request. Medical information management means for outputting information, and in response to a search request based on the original ID of medical information, It is characterized in that the output as a result of searching for medical information of the new ID that.

  According to the medical information management system of claim 1, when a medical staff who is a user refers to certain medical information and inquires about an original ID of other medical information included in the content of the medical information, a new corresponding An ID is returned. This makes it possible to easily manage and use medical information whose ID has been changed according to the system.

[First Embodiment]
Hereinafter, a medical information management system according to a first embodiment of the present invention will be described. FIG. 1 is a block diagram showing functions of a medical information management system according to the first and third embodiments. Here, in the present embodiment, the medical information management system according to the present invention is introduced into an existing medical facility system, and the medical information capturing unit 001 and the ID management unit 002 are incorporated into one server 010. The medical information management unit 003 and the storage unit 004 will be described in a configuration in which each server and the medical terminal 005 are connected to each other via a network. Any combination may be used, and all may be incorporated into one server, or all may be incorporated into another server. FIG. 2 is a diagram for explaining a change in ID of medical information between medical facilities. Each medical information is given an ID that is an identifier for uniquely identifying the medical information. This is, for example, a UID in DICOM.

  Hereinafter, as illustrated in FIG. 2, the medical information of the medical facility system 210 is taken into the medical facility system 220 of the B medical facility. As the medical information, as shown in FIG. 2, it is assumed that a diagnosis report 211 having an ID of AAA and a medical image 212 having an ID of A100 in a patient ID having an ID of 000A are captured. In addition, what has been changed in the ID after being taken in is a diagnostic report B221 with an ID of BBB and a medical image 222 with an ID of B123 in a patient ID with an ID of 111B. In the following, codes indicating diagnostic report IDs, medical image IDs, patient IDs, and the like are directly indicated by those IDs. These IDs AAA and A100 are the original IDs. The diagnostic report AAA and the medical image A100, or the diagnostic report BBB and the medical image B123 are managed independently.

  Further, as shown in FIG. 2, incidental information 214 is a display of the contents of the diagnostic report AAA. In the incidental information 214, the information of the medical image A100 is described in a patient report ID that is a bibliographic item or a diagnosis report AAA that is referred to as other medical information. A100 which is the original ID of the medical image A100 is displayed.

  At the B medical facility, the patient ID = 000A or the like is designated by the communication means, and the above-described diagnosis report AAA and the medical image A100 are transmitted from the A medical facility via the offline media 230 such as CD or DVD or the network 240. Import into the facility system 220. Here, the B medical facility system 220 includes a medical information management system according to the present invention, a hospital information system such as HIS, and a department information management system such as RIS.

  The diagnosis report AAA of the designated patient (ID is 000A in the A medical facility) and the medical image A100 are sent from the A medical facility to the B medical facility via the network 240 or the offline media 230. The receiving unit 006 receives the diagnosis report AAA and the medical image A100 of the patient with the patient ID 000A from the medical facility A via the network 240 or the offline medium 230 shown in FIG.

  As shown in FIG. 1, the medical information fetching unit 001 is a part of a server 010 composed of a CPU and a program that defines its operation.

  The medical information fetching unit 001 receives the diagnostic report AAA and the medical image A100 received by the receiving unit 006, refers to the accompanying information, and determines whether or not a bibliographic item such as a patient ID is included. Here, the reason for selecting only the bibliographic item is that the change of the bibliographic item affects only the medical information, and does not affect other medical information, so that the change is easy. If bibliographic items are included, the medical information management system or department information management system can input information via a network or by a medical staff such as a doctor using a terminal. The medical information capturing means 001 rewrites the bibliographic item written in the A medical facility with the bibliographic item in the B medical facility. In the present embodiment, as shown in FIG. 2, a case where the same patient as the patient ID 000A at the A medical facility is already registered as the patient ID 111B at the B medical facility will be described. In this case, since it is necessary to rewrite the patient ID that is a bibliographic item, the medical information fetching unit 001 rewrites the patient ID that is the bibliographic item of the diagnostic report AAA and the medical image A100 received from the outside from 000A to 111B. .

  Here, the diagnosis report and medical image whose patient ID has been rewritten, that is, whose contents have been changed, are treated as different from the original diagnosis report AAA and medical image A100. Therefore, the medical information fetching unit 001 changes the IDs of the diagnosis report AAA and the medical image A100 itself. In the present embodiment, as shown in FIG. 2, the ID of the diagnostic report AAA is rewritten to BBB to become the diagnostic report BBB, and the ID of the medical image A100 is rewritten to B123 to become the medical image B123. Here, these IDs BBB and B123 are new IDs. The original ID is an ID attached to the medical information of the A medical facility, but in the following, the previous ID of the medical information whose ID has been changed for use in the B medical facility is changed to the medical information of the B medical facility. It may be referred to as an original ID of information (for example, diagnostic report BBB and medical image B123).

  The medical information fetching unit 001 sends the original ID and new ID AAA and BBB of the diagnosis report BBB and the original ID and new ID A100 and B123 of the medical image B123 to the ID management unit 002.

  Further, the medical information fetching unit 001 sends the diagnosis report BBB and the medical image B123, in which the patient ID of the patient is changed to 111B and the IDs are changed to BBB and B123, respectively, to the medical information management unit 003.

  Here, the ID of the diagnostic report BBB is rewritten to BBB, but the reference image ID that refers to other medical information included in the accompanying information is not rewritten. This is because, unlike bibliographic items, references to other medical information require changes to all stored medical information, and are difficult to rewrite easily. Therefore, when viewing the incidental information 224 indicating the contents of the diagnostic report BBB, the reference image ID referenced in the incidental information 224 remains A100, which is the original ID of the medical image B123.

  The medical information management unit 003 is a part of the server 020 that includes a CPU, a storage unit 004, and a program that defines its operation.

  The medical information management unit 003 stores the diagnostic report BBB and the medical image B123 in the storage unit 004 provided therein. Here, in this embodiment, for the efficient operation of resources, the diagnosis report BBB and the medical image B123 are configured as one server 020. However, for ease of management, the diagnosis report BBB is configured. May be divided into two servers: a server that stores the medical image and a server that stores the medical image B123.

  The medical information management unit 003 receives the display instruction specifying the diagnostic report BBB from the medical terminal 005 by the medical staff who is the user, and outputs the incidental information 224 which is the content of the diagnostic report BBB.

  Furthermore, when the medical staff displays and references the supplementary information 224 on the medical terminal 005 and tries to view the medical image B123 described in the supplementary information of the diagnosis report BBB, the medical staff uses the reference image ID included in the supplementary information 224. A reference image is requested based on a certain A100. Therefore, the medical information management unit 003 receives A100. Here, A100 is the original ID of the medical image B123.

  At this time, the medical image B123 described as the reference image in the diagnostic report BBB is actually rewritten with a new ID, and the original ID of A100 is received, and the medical information management unit 003 stores the A100 in the storage unit 004. The medical image B123 cannot be extracted even if a search is performed. Therefore, the medical information management unit 003 transmits an original ID of A100 to the ID management unit 002. Thereafter, the medical information management unit 003 receives a new ID B123 corresponding to the original ID A100 from the ID management unit 002.

  The medical information management unit 003 searches the storage unit 004 based on B123 received from the ID management unit 002, extracts the medical image B123 having the ID B123, and displays the medical image B123 on the medical terminal 005.

  The ID management unit 002 receives AAA, which is the original ID of the diagnostic report BBB, BBB, which is the new ID, and A100 which is the original ID of the medical image B123, and B123 which is the new ID, from the medical information capturing unit 001. Then, a management table 300 representing the correspondence between each original ID and new ID as shown in FIG. 3 is created. FIG. 3 is a diagram for explaining the management table. Here, in this embodiment, in order to leave what kind of changes have been made, in addition to the latest new ID and the original ID corresponding thereto as shown in FIG. Although the added management table 300 is created, this is not particularly limited as long as it has the latest new ID and the original ID corresponding thereto, and may be a table that does not leave a history, for example. Further, in this embodiment, as shown in FIG. 3, the correspondence between the new ID and the original ID as the reference image ID is used, but this uses the correspondence between the new ID and the original ID of the medical image BBB directly. May be. Furthermore, in this embodiment, the ID management unit 002 creates a completely new management table 300, which is created by using an operation log or the like that keeps a history of each operation already stored in the system. May be.

  The ID management unit 002 receives the original ID of the medical image B123 A100 from the medical information management unit 003, refers to the change history 1 (301) of the management table 300, and the original ID 302 of the reference image ID is A100. This is confirmed, and a new ID B123 is acquired by referring to the new ID 303 of the corresponding reference image ID. Then, the ID management unit 002 returns B123, which is a new ID of the medical image B123 corresponding to the original ID of A100, to the medical information management unit 003.

  Next, with reference to FIG. 4, the flow of the operation | movement of taking in medical information in the medical information management system which concerns on this embodiment is demonstrated. FIG. 4 is a diagram showing a flowchart of taking in medical information in the medical information management system according to the present embodiment.

  Step S001: The receiving means 006 receives medical information from the outside.

  Step S002: The medical information fetching unit 001 refers to the incidental information of the medical information received by the receiving unit 006.

  Step S003: The medical information capturing unit 001 determines whether or not there is a bibliographic item. If there is, the process proceeds to Step S004, and if not, the process proceeds to Step S007.

  Step S004: The medical information fetching unit 001 receives data from a medical information management system or a department information management system via a network or a medical staff such as a doctor using a terminal to input information, and is bibliographic. Rewrite the matter.

  Step S005: The medical information fetching unit 001 rewrites the ID of the medical information because the content of the medical information has been rewritten.

  Step S006: The ID management unit 002 receives the original ID and the new ID from the medical information fetching unit 001 and creates a management table.

  Step S007: The medical information fetching unit 001 transmits the medical information obtained by changing the bibliographic item and the ID of the medical information itself to the medical information managing unit 003. The medical information management unit 003 stores the received medical information in the storage unit 004.

  Next, a flow of outputting medical information in the medical information management system according to the present embodiment will be described with reference to FIG. FIG. 5 is a diagram showing a flowchart of outputting medical information in the medical information management system according to the present embodiment.

  Step S101: The medical staff designates medical information to be referred to using the medical terminal 005.

  Step S102: In response to the designation of medical information from the medical terminal 005, the medical information management unit 003 searches the storage unit 004 based on the corresponding ID, and outputs the medical information of the ID.

  Step S103: The medical staff uses the medical terminal 005 to refer to the output medical information and to refer to other medical information included in the incidental information. Specify the original ID of the information.

  Step S104: Upon receiving the designation of the original ID from the medical terminal 005, the medical information management unit 003 searches the storage unit 004 based on the original ID. If there is medical information corresponding to the original ID, the process proceeds to step S107, and if there is no medical information corresponding to the original ID, the process proceeds to step S105.

  Step S105: The medical information management unit 003 transmits the original ID to the ID management unit 002.

  Step S106: The ID management unit 002 refers to the management table and returns a new ID corresponding to the original ID received from the medical information management unit 003 to the medical information management unit 003.

  Step S107: The medical information management unit 003 outputs medical information corresponding to the specified original ID to the medical terminal 005 based on the specified original ID or the new ID received from the ID management unit 002.

  As described above, in the medical information output command from the medical staff, even when designated by the original ID, a new ID corresponding to the original ID can be acquired by referring to the management table, and the new ID is supported. Therefore, even if the ID of medical information taken from outside is changed according to the system, it is possible to easily manage and use the medical information.

[Second Embodiment]
A medical information management system according to the second embodiment of the present invention will be described below. FIG. 6 is a block diagram showing functions of the medical information management system according to the present embodiment. The medical information system according to the present embodiment is different from the medical information system according to the first embodiment in a method of inquiring a new ID to the ID management unit 002 when a medical staff requests medical information. Therefore, the operation of the medical information management system according to the present embodiment when medical information is requested by a medical staff will be described below. Moreover, since management of each medical information is the same also in this embodiment, it demonstrates to an example with reference to FIG.

  First, according to the designation from the medical terminal 005 by the medical staff, the medical information in which the original ID of the other medical information is included in the content of the medical information, that is, the diagnosis report 221 in FIG. Output to 005.

  When the medical staff refers to the output diagnostic report BBB and wants to obtain the medical image B123 described in the accompanying information of the diagnostic report BBB, the medical staff uses the reference image ID described in the accompanying information 224 of the diagnostic report BBB. Refer to and confirm that the ID is A100. Therefore, the medical staff requests the medical information management unit 003 to output medical information having an ID of A100. However, since the ID of the medical image B123 with A100 as the original ID is rewritten to B123 which is a new ID, the medical information management unit 003 cannot extract the medical information having the ID of A100 from the storage unit 004. Therefore, the medical information management means 003 outputs the absence of medical information having an ID of A100 to the medical terminal 005. In response to this, the medical staff uses the medical terminal 005 to make an inquiry about a new ID of medical information having an original ID of A100 to the ID management unit 002.

  The ID management unit 002 receives the inquiry about the original ID, refers to the management table 300 shown in FIG. 3, and acquires a new ID corresponding to the received original ID. Here, the ID management unit 002 receives A100, refers to the change history 1 (301) of the management table, confirms that the original ID 302 of the reference image ID is A100, and sets the reference image ID corresponding thereto. With reference to the new ID 303, the new ID B123 is acquired.

  The ID management unit 002 returns B123, which is a new ID of the medical image B123, corresponding to the original ID of A100 to the medical terminal 005.

  Then, the medical staff confirms the new ID B123 sent from the ID management unit 002, and requests the medical information management unit 003 to output medical information having the ID of B123.

  The medical information management unit 003 searches the storage unit 004, acquires the medical image B123, and outputs the medical image B123 to the medical terminal 005.

  As described above, when the medical staff directly inquires of the ID management unit 002 about the new ID using the medical terminal 005, the system configuration of the medical information management unit 003 can be simplified, and the medical information management unit 003 The load can be reduced.

[Third Embodiment]
A medical information management system according to the third embodiment of the present invention will be described below with reference to FIG. The medical information system according to the present embodiment has a configuration in which the medical information capturing unit 001 rewrites the ID of other medical information included in the incidental information when capturing medical information in the medical information system according to the first embodiment. is there. Therefore, in the following, the operation of the medical information management system according to the present embodiment when taking medical information will be described.

  In the present embodiment, as illustrated in FIG. 7, a case where a diagnostic report 211 and a medical image 712 are first captured from a medical facility A 210 to a medical facility B 220 and the medical image 713 is captured later will be described as an example. In the following, codes indicating diagnostic reports, medical images, patients, etc. are directly indicated by their IDs. Here, FIG. 7 is a diagram for explaining the change of the ID of the medical information at the stage where the diagnosis report AAA and the medical image A100 are sent in the present embodiment.

  The medical information capturing unit 001 acquires a diagnosis report AAA and a medical image A100 of a specific patient via the network 240 or the offline media 230. The medical information fetching unit 001 refers to the incidental information of the diagnosis report AAA and the medical image A100 and determines whether or not a bibliographic item such as a patient ID is included. If bibliographic items are included, the medical information management system or department information management system can be used via a network, or medical staff such as doctors can input information using a terminal. The information capturing unit 001 rewrites the bibliographic item written in the A medical facility into the bibliographic item in the B medical facility. In the present embodiment, as shown in FIG. 2, a case where a patient whose patient ID is 000A in the A medical facility is already registered as 111B in the B medical facility will be described. In this case, since it is necessary to rewrite the patient ID that is a bibliographic item, the medical information fetching unit 001 rewrites the patient ID that is the bibliographic item of the diagnostic report AAA and the medical image A100 received from the outside from 000A to 111B. .

  Here, the diagnosis report and medical image whose patient ID has been rewritten, that is, whose contents have been changed, are treated as different from the original diagnosis report AAA and medical image A100. Therefore, the medical information fetching unit 001 changes the IDs of the diagnosis report AAA and the medical image A100 itself. In the present embodiment, as shown in FIG. 2, the ID of the diagnostic report AAA is rewritten to BBB to become the diagnostic report BBB, and the ID of the medical image A100 is rewritten to B123 to become the medical image B123.

  Further, the medical information fetching unit 001 searches whether the original ID of other medical information such as the reference image ID is described in the incidental information of the diagnostic report BBB and the medical image B123. Here, in the incidental information 214 of the diagnostic report BBB, as the reference image ID, A100 which is the original ID of the medical image B123 corresponding to the reference image 1 and the original ID of the medical image A200 corresponding to the reference image 2 are used. An A200 is described.

  Therefore, the medical information capturing unit 001 compares the ID of the received medical information with the ID described in the other medical information included in the incidental information, and compares the other medical information included in the incidental information in the received medical information. Determine whether there is medical information. And among the other medical information included in the supplementary information, the one corresponding to the received medical information is used as the new ID of the corresponding medical information received in the ID of the other medical information included in the supplementary information. Of the other medical information included in the rewritten or incidental information, the information that does not correspond to the received medical information is left as the original ID. In this embodiment, since the medical image A100 is received, the new ID is rewritten as B123, but the medical image A200 is not received. Therefore, although the ID of the reference image 1 indicating the medical image B123 is rewritten as B123 as in the supplementary information 225, the ID of the reference image 2 indicating the medical image A200 remains A200.

  The medical information fetching unit 001 sends the original ID and new ID AAA and BBB of the diagnosis report BBB and the original ID and new ID A100 and B123 of the medical image B123 to the ID management unit 002.

  Furthermore, the medical information capturing unit 001 changes the patient ID of the patient 223 to 111B, changes each ID to BBB and B123, and further changes the ID of the reference image 1 to B123. The diagnosis report 221 and the medical image 722 are sent to the medical information management unit 003.

  Next, when capturing the medical image A200 later, the medical information capturing unit 001 similarly changes the ID of the medical image A200 itself, and sends the original ID and new ID of the medical image A200 to the ID management unit 002. Although stored in the medical information management unit 003, the ID of the medical information A200, which is the reference image ID included in the incidental information of the diagnostic report BBB, which is already acquired medical information, is not changed.

    At the stage of capturing the diagnosis report AAA and the medical image A100, the ID management unit 002 uses the AAA that is the original ID of the diagnosis report BBB, the BBB that is the new ID, and the A100 that is the original ID of the medical image B123 and the new ID. A certain B123 is received, and a management table showing the correspondence between each original ID and new ID is created.

  Next, at the stage of capturing the medical image A200, the ID management unit 002 receives the original ID and the new ID of the medical image A200 and creates a management table indicating the correspondence.

  The ID management unit 002 receives the original ID of the medical image A200 A200 from the medical information management unit 003, refers to the change history of the management table, acquires the new ID of the medical image A200, and uses the new ID as the medical ID It returns to the information management means 003.

  When the medical staff who refers to the supplementary information 225 of the diagnosis report 221 receives the designation of the output of medical information having the IDs B123 and A200 from the medical terminal 005, the medical information management unit 003 responds to B123. Since the medical information to be searched can be searched with the medical image B123, the medical image B123 is output. On the other hand, for A200, the medical information management unit 003 queries the storage unit 004 to find the corresponding medical information, and therefore asks the ID management unit 002 for a new ID corresponding to the original ID of A200. . Then, the medical information management unit 003 receives the new ID sent from the ID management unit 002 and changes the medical image corresponding to the medical information (this changes the ID of the medical image A 200 to the storage unit 004. Is stored from the storage unit 004, and the medical image 2 is output to the medical terminal 005.

  In this embodiment, in order to leave the history of ID change, even when the ID of other medical information included in the incidental information is changed, the management table of the original ID and new ID of the corresponding medical information is created. In the medical information management system according to the present invention, when the ID of other medical information included in the incidental information is not changed, only the management table of the original ID and new ID of the corresponding medical information is created. It is possible to operate, and other management tables need not be created.

  As described above, by changing the ID of other medical information included in the incidental information that can be changed at the time of import, it is possible to reduce inquiries from the medical information management unit 003 to the ID management unit 002, Network load can be reduced, and medical information can be efficiently retrieved and output.

Block diagram of a medical information management system according to the first and third embodiments The figure for demonstrating the change of ID of medical information between the medical facilities in 1st and 2nd embodiment. Diagram for explaining the management table The figure which shows the flowchart of taking in the medical information in the medical information management system which concerns on 1st Embodiment. The figure which shows the flowchart of the output of the medical information in the medical information management system which concerns on 1st Embodiment. Block diagram of a medical information management system according to the second embodiment The figure for demonstrating change of ID of medical information of the stage to which diagnostic report AAA and medical image A100 were sent

Explanation of symbols

001 Medical information fetching means 002 ID management means 003 Medical information management means 004 Storage means 005 Medical terminal 006 Receiving means

Claims (4)

Receiving means for receiving medical information, each of which is a medical information including an individual ID and a specific patient ID, and the additional information includes the original ID of other medical information;
A medical information capturing unit that changes at least the patient ID of the received medical information and changes and captures the original ID of the received medical information into a new ID;
An ID management means for creating and storing a management table representing the correspondence between the new ID of the captured medical information and the original ID;
Medical information management means for storing the medical information captured in association with a new ID in a storage means and outputting the medical information in response to a search request,
In response to a search request based on an original ID of medical information, the medical information management system outputs the medical information of the corresponding new ID as a search result based on the management table. The medical information management system according to any one of claims 1 to 3, wherein the medical information fetching unit receives an input from an external system and changes bibliographic items such as the patient ID. When receiving one medical information and other medical information including the original ID in the medical information,
The medical information fetching unit changes the patient ID of the medical information received, changes the original ID of the received medical information to a new ID, and further adds to the additional information of the one medical information. The medical information management system according to claim 1 or 2, wherein an original ID of the other medical information included is changed to the new ID and captured. The ID management means refers to the management table for a new ID of the other medical information corresponding to the inquiry of the original ID of the other medical information included in the supplementary information of the medical information from the medical terminal. The medical information management system according to any one of claims 1 to 3, wherein

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